HomeMy WebLinkAbout1995 06 29 - Right of Way PermitINLJIFuy HLVt.h LWNiY
RIGHT OF WAY PER41T
DATE Q, Z 9 f qJ R.O.W. PERMIT NO.
APPLICANT C!-rre L�!= -SCE AS7-14tvd
7a iwdz
CONTRACTOR S
Address Phone No.
DATION OF WORK 13 Lo s S OM D 1 -r(_.H WEsr of ✓nsee 4r1A r2D
Itz -rH to
Ko4r!} OF C R 5 1Z
D=RIPTION OF WORK D 1 'rc-F!
TYPE PERMIT
Driveway**
_ Street Paving
Sidewalks/Curbs
Storm Drainage
_ water Systems
Sanitary Sewer
_ Cable TV
_ Electricity
Telephone
Right -of -Way
TYPE UTILITY
CONSTRU=ION
�... - ,M=
_ Clearing CpVhbipaE 26IEAtsr4F,4T W1rH rwz
Other Noa7-0 10'2)F c$ 51E tp-b- J rDA (AT -IL, Q.b12A')J.
NOTE: 1. Detailed drawing shall be sutmitted with each application.
2. This pe it is issued subject to all conditions on reverse
side of this application.
3. A signature by the contractor shall be construed as making
the Contrwn}•nr nor+ennalllr i iahln for nl l ror if r-rmAj+ir v
unless contractor attaches written proof of authorization
to act on behalf of the applicant.
4. All work is subject to final inspection by The Engineering
Division. Call 567-8000, ext. 2.63 to schedule inspections.
PERMIT IS 70 BE DISPLAYED
ON JOB SITE
FDDT TRAFFIC CONTROL is
required
Conplies with Thoroughfare
Plan - Yes No
DRAINAGE
Approved
Not Approved
PERKIT FEE
Revised ii/86
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Applicant/Contractor
-------------------------------------------------
OFFICE USE ONLY
Remarks
Issuing Officer
Date Issued
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